Provider Demographics
NPI:1356459440
Name:DR CORAL YOUKER PC
Entity Type:Organization
Organization Name:DR CORAL YOUKER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CORAL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:YOUKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:630-575-0600
Mailing Address - Street 1:2605 W 22ND ST
Mailing Address - Street 2:SUITE 37
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523
Mailing Address - Country:US
Mailing Address - Phone:630-575-0600
Mailing Address - Fax:630-575-0617
Practice Address - Street 1:2605 W 22ND ST
Practice Address - Street 2:SUITE 37
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523
Practice Address - Country:US
Practice Address - Phone:630-575-0600
Practice Address - Fax:630-575-0617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X, 171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty